Augmenting Buried in Treasures with in-home uncluttering practice: Pilot study in hoarding disorder

Linkovski, Omer; Zwerling, Jordana; Cordell, Elisabeth; Sonnenfeld, Danae; Willis, H. Parker; Lima, Christopher N. La; Baker, Colleen; Ghazzaoui, Rassil; Girson, Robyn; Sanchez, Catherine; Wright, Brianna; Alford, Mason; Varias, Andrea; Filippou-Frye, Maria; Shen, Hanyang; Jo, Booil; Shuer, Lee; Frost, Randy O.; Rodriguez, Carolyn I.

doi:10.1016/j.jpsychires.2018.10.001

Cited by 27 publications

(7 citation statements)

References 24 publications

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“…In terms of the possible reasons why the CAT was unsuccessful in treating the HD, then the following are of note: (i) all the sessions were delivered as outpatient psychotherapy, and there is evidence that integrating domiciliary visits (Linkovski et al ) or webcam support (Muroff & Steketee, ) in supporting discard and organization efforts are clinically worthwhile; (ii) the participant had been unresponsive to two previous courses of CBT and so could therefore be considered a treatment refractory case (Rosqvist, Thomas, & Egan, ); and (iii) the common attentional problems in HD also can compromise treatment delivery (Wheaton, ), and this was the case here, in terms of difficulty maintaining focus in sessions. The previous CBT interventions had failed because they did not manage to engage the client in any consistent exposure to discard activities, and this was also the case in the current attempt to deliver CAT.…”

Section: Discussionmentioning

confidence: 99%

Can cognitive analytic therapy treat hoarding disorder? An adjudicated hermeneutic single‐case efficacy design evaluation

Spence

Kellett

Totterdell

et al. 2019

Clin Psychology and Psychoth

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This paper sought to assess whether cognitive analytic therapy (CAT) was effective with a male patient meeting diagnostic criteria for hoarding disorder (HD) who had been nonresponsive to two previous courses of cognitive behaviour therapy. An adjudicated hermeneutic single-case efficacy design (HSCED) evaluation was undertaken. A rich case record (i.e., a summary document containing the case details, formulations, and detailed qualitative and quantitative outcomes) was created. The rich case record was then debated by affirmative (N = 3) and sceptic (N = 3) research teams. Expert judges (N = 3) reviewed the debate and then delivered a final verdict as to whether treatment had worked. Judges unanimously returned a verdict in favour of the sceptic position, concluding that CAT had not enabled change. Lack of change on the primary nomothetic hoarding outcome measure was particularly influential in the final judgement. In this case of HD, CAT was therefore not effective as an intervention. More research is needed before any definitive conclusions can be drawn however as to the wider utility of CAT with HD. Methodological limitations are outlined, alongside considerations for future research.

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Section: Discussionmentioning

confidence: 99%

Can cognitive analytic therapy treat hoarding disorder? An adjudicated hermeneutic single‐case efficacy design evaluation

Spence

Kellett

Totterdell

et al. 2019

Clin Psychology and Psychoth

View full text Add to dashboard Cite

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“…The CNT may define these thoughts, beliefs, and decision-making processes as narratives or narrative fragments. In line with CNT principles, current treatments have therapists or volunteers aiding HD clients assess their narratives of items and verbally simulate outcomes of their decisions in their homessuch practices may increase affective reasoning and widen the narrative fragments (Crone, Angel, Isemann, & Norberg, 2020;Linkovski et al, 2018;Muroff & Otte, 2019). The CNT suggests that narratives bind processes and perception to guide actions (target article).…”

Section: Introductionmentioning

confidence: 99%

Conviction Narrative Theory: A theory of choice under radical uncertainty

Johnson

Bilovich²,

Tuckett

2022

Behav Brain Sci

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Conviction Narrative Theory (CNT) is a theory of choice under radical uncertainty—situations where outcomes cannot be enumerated and probabilities cannot be assigned. Whereas most theories of choice assume that people rely on (potentially biased) probabilistic judgments, such theories cannot account for adaptive decision-making when probabilities cannot be assigned. CNT proposes that people use narratives—structured representations of causal, temporal, analogical, and valence relationships—rather than probabilities, as the currency of thought that unifies our sense-making and decision-making faculties. According to CNT, narratives arise from the interplay between individual cognition and the social environment, with reasoners adopting a narrative that feels ‘right’ to explain the available data; using that narrative to imagine plausible futures; and affectively evaluating those imagined futures to make a choice. Evidence from many areas of the cognitive, behavioral, and social sciences supports this basic model, including lab experiments, interview studies, and econometric analyses. We propose 12 principles to explain how the mental representations (narratives) interact with four inter-related processes (explanation, simulation, affective evaluation, communication), examining the theoretical and empirical basis for each. We conclude by discussing how CNT can provide a common vocabulary for researchers studying everyday choices across areas of the decision sciences.

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“…Therefore, a future study is needed to test whether inducing inhibitory control reduces the urge to engage in behaviors such as checking in other paradigms ( Strauss et al, 2020 ), irrespective of uncertainty levels, thereby dissociating inhibitory control’s effects on the behavioral manifestation of uncertainty and the urge to act. Clinically, future studies may dissociate the behavioral account (i.e., action tendencies) from the cognitive account (i.e., expected uncertainty) and explore whether computerized inhibitory training, under conditions which require overcoming action tendencies, improves resolution of uncertainty or associated behaviors such as checking ( Strauss et al, 2020 ) and whether therapeutic interventions for OCD or Obsessive-Compulsive and Related Disorders modify the association between inhibitory control and behavioral manifestations of uncertainty ( Enander et al, 2019 ; Hirschtritt et al, 2017 ; Kalanthroff et al, 2018 ; Lee et al, 2019 ; Linkovski et al, 2018 ; Linkovski, Wheaton, et al, 2019 ; Lochner et al, 2017 ; Mathews et al, 2018 ). Neuroimaging studies utilizing our task may reveal the neural basis of the interaction between inhibitory control, uncertainty and action tendencies, since identifying specific uncertainty-related regions may require specific scanning sequences ( Theiss et al, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

Momentary Induction of Inhibitory Control and Its Effects on Uncertainty

Linkovski

Rodriguez

Wheaton

et al. 2021

Journal of Cognition

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Deficient inhibitory control and difficulty resolving uncertainty are central in psychopathology. How these factors interact remains unclear. Initial evidence suggests that inducing inhibitory control improves resolution of uncertainty. This may occur only when participants overcome action tendencies, which are dominant tendencies to perform certain behaviors. Our study explored the links between inhibitory control and behavioral responses to uncertainty while manipulating action-tendencies’ strength. In three experiments, 132 undergraduates completed a task that combined induction of momentary changes in inhibitory control level (Stroop task), with responses to uncertainty (visual-search task). We manipulated action-tendencies’ strength by varying uncertainty proportions across experiments. Results indicated that momentary induction of inhibitory control improved resolution of high-uncertainty during mostly low-uncertainty trials but hampered resolution of low-uncertainty during mostly high-uncertainty trials. Identical inhibitory control induction did not affect resolution of uncertainty when uncertainty conditions were equalized. Participants’ subjective uncertainty measures were similar across experiments. Our results suggest that momentary inhibitory control induction modifies behavioral responses to uncertainty and selectively affects trials that require overcoming dominant action tendencies. These findings indicate a potentially unique and multifaceted relationship between inhibitory control and behavioral responses to uncertainty. Clinical implications for models of Obsessive-Compulsive Disorder and experimental implications to post-conflict processes are discussed.

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Augmenting Buried in Treasures with in-home uncluttering practice: Pilot study in hoarding disorder

Cited by 27 publications

References 24 publications

Can cognitive analytic therapy treat hoarding disorder? An adjudicated hermeneutic single‐case efficacy design evaluation

Can cognitive analytic therapy treat hoarding disorder? An adjudicated hermeneutic single‐case efficacy design evaluation

Conviction Narrative Theory: A theory of choice under radical uncertainty

Momentary Induction of Inhibitory Control and Its Effects on Uncertainty

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